<!DOCTYPE html> 
<html> 
    <head>
        <meta charset="utf-8">
        <meta name="viewport" content="width=device-width, initial-scale=1"> 
        <title>Yeni Adres Ekle</title> 
        <link rel="stylesheet" href="../css/jquery.mobile-1.0.css" />
        <link rel="stylesheet" href="../css/vipdukkan.css" />
        <link rel="stylesheet" href="../css/custom.css" />
        <script type="text/javascript" src="../js/jquery.1.6.4.js"></script>
        <script type="text/javascript" src="../js/jquery.mobile-1.0.min.js"></script>
    
    </head> 
    <body> 

        <!-- /yeni adres ekle-->    
        <div data-role="page"> 
            <!-- /header -->
            <div data-role="header" data-position="inline">
                <a href="javascript:history.back()" data-icon="arrow-l">Geri</a> 
                <h1>Yeni Adres Ekle</h1>
                
            </div>

             <!-- /content -->
                <div data-role="content">
                <form >
                    
                        <label for="adresbaslik">Adres Başlığı:</label>
                        <input type="text" name="adresbaslik" id="adresbaslik" value="" /> 

                        <label for="adsoyad">Ad Soyad:</label>
                        <input type="text" name="adsoyad" id="adsoyad" value="" />

                        <label for="firmaismi">Firma İsmi:</label>
                        <input type="text" name="firmaismi" id="firmaismi" value="" />

                        <label for="gsm">Gsm:</label>
                        <input type="text" name="gsm" id="gsm" value="" />

                        <label for="telefon">Telefon:</label>
                        <input type="text" name="telefon" id="telefon" value="" />
                        
                        <label for="pkodu">Posta Kodu:</label>
                        <input type="text" name="pkodu" id="pkodu" value="" />                 
                        
                        <label for="sehir" class="select">Şehir:</label>
                        <select name="sehir">
                          <option value="1">İstanbul</option>
                          <option value="2">İzmir</option>
                          <option value="3">Antalya</option>
                          <option value="4">Bursa</option>
                        </select>
                        
                        <label for="adres">Adres:</label>
                        <textarea type="text" name="adres" id="adres" value="" rows="4"></textarea>

                        <input type="checkbox" name="fatura" id="fatura" class="custom" />
                        <label for="fatura">Fatura adresi olarak da kullan</label>

                        <input type="submit" name="uyeol" id="uyeol" value="Üye ol" />
                        <br/>

                </form>

            </div>
            
            <!-- /footer -->
            <div data-role="footer" class="nav-glyphish-example" data-position="fixed" data-fullscreen="true">
                <div data-role="navbar" class="nav-glyphish-example" data-grid="d">
                    <ul>
                        <li><a href="dukkanlar.html" id="dukkan-btn" data-icon="custom">DÜKKANLAR</a></li>
                        <li><a href="sepetim.html" id="sepetim-btn" data-icon="custom">SEPETİM</a></li>
                        <li><a href="hesabim.html" id="hesabim-btn" data-icon="custom">HESABIM</a></li>
                        <li><a href="yardim.html" id="yardim-btn" data-icon="custom">YARDIM</a></li>
                    </ul>
                </div>
            </div>


        </div>



    </body>
</html>